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NPI Code Detail

MEDICARE: MR. RICARDO JOSE REYES PHARMD

MEDICARE: MR. RICARDO JOSE REYES PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist051299021IL
2183500000XPharmacist018169KY
3183500000XPharmacistRPH6203ND

General Provider Information

NPI Number : 1205381894
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RICARDO JOSE REYES PHARMD
Provider Business Mailing Address
First Line : 1325 57TH AVE NE
Second Line :
City : BISMARCK
State : ND
Zip : 58503-6581
Country : US
Telephone Number : 701-415-7013
Fax Number : 701-415-7004
Provider Business Practice Location Address
First Line : 1325 57TH AVE NE
Second Line :
City : BISMARCK
State : ND
Zip : 58503-6581
Country : US
Telephone Number : 701-415-7013
Fax Number : 701-415-7004
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2016
Last Update Date : 10/29/2021

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